Chapter 05 - Cultural Implications evolve questions

What term is used to describe a deviation from expectations by members of the cultural group? A. Illness B. Hostility C. Lack of self-will D. Variation from tradition

A. Illness

Which assessment question would produce data that would help a nurse understand healing options acceptable to a client of a different culture? A. "What sorts of stress are you presently experiencing?" B. "What usually helps people who have the same type of illness you have?" C. "What questions would you like to ask about your condition?" D. "Is there someone in your community who usually cures your illness?"

B. "What usually helps people who have the same type of illness you have?"

A nurse states, "I am so frustrated trying to communicate with clients when they insist on speaking in their language instead of English. I think if people want to live here, they ought to have to speak our language and act like we do!" Which response by a peer best promotes culturally competent care? (Select all that apply.) Select all that apply. A. "What you are saying is actually considered cultural imposition, which is imposing our own culture onto someone from a different culture." B. "They will have to learn to speak English eventually to live and work successfully in this country. Just try to be client and encourage them to try speaking English." C. "You are right, but all clients do have a right to an interpreter, so you need to comply." D. "I agree that it is frustrating. We should work with their family members to help convince them to speak English." E. "When their ability to speak and understand English is very limited, we need to have an interpreter present to make sure they can make their needs and feelings known."

A. "What you are saying is actually considered cultural imposition, which is imposing our own culture onto someone from a different culture." E. "When their ability to speak and understand English is very limited, we need to have an interpreter present to make sure they can make their needs and feelings known."

In the Chinese tradition, disease is believed to be caused by what factor? A. Fluctuations in opposing forces B. Adoption of Western beliefs C. Members' disobedience D. Outside influences

A. Fluctuations in opposing forces

Which idea held by the nurse would best promote the provision of culturally competent care? A. Western biomedicine is one of several established healing systems. B. Need for spiritual healing is a concept that crosses cultural boundaries. C. Some individuals will profit from use of both Western and folk healing practices. D. Use of cultural translators will provide valuable information into health-seeking behaviors.

A. Western biomedicine is one of several established healing systems.

When assessing and planning treatment for a client who has recently arrived in the United States from China, the nurse should be alert to the possibility that the client's explanatory model for his illness reflects which cultural concept? A. Yin-Yang B. Negative forces C. Inheritance D. Supernatural causes

A. Yin-Yang

Which statement made by the nurse would acknowledge that they understand the difference between the ethnicity and culture? A. "So, ethnicity refers to having the same life goals whereas culture refers to race." B. "So, ethnicity refers to shared history and heritage, whereas culture refers to sharing the same beliefs and values." C. "So, ethnicity refers to race, and culture refers to having the same worldview." D. "So, ethnicity refers to norms within a culture, and culture refers to shared likes and dislikes."

B. "So, ethnicity refers to shared history and heritage, whereas culture refers to sharing the same beliefs and values."

The nurse assesses the wellness beliefs and values of a client from another culture best when asking which question? A. "Did you do something to cause the illness?" B. "What do you think is making you ill?" C. "When did you first feel ill?" D. "How can I help you get better?"

B. "What do you think is making you ill?"

Which nursing behavior best demonstrates the concept of cultural competence? A. Educating clients about the cultural norms of the United States B. Adjusting personal practice to meet the clients' cultural preferences, beliefs, and practices C. Engaging in continuing education classes on culture in the process of becoming culturally competent D. Acquiring knowledge about different cultures

B. Adjusting personal practice to meet the clients' cultural preferences, beliefs, and practices

What term is used to describe the process implemented when members of a group are introduced to the culture's worldview, beliefs, values, and practices? A. Cultural encounters. B. Enculturation. C. Ethnocentrism. D. Acculturation.

B. Enculturation.

A recent Hispanic immigrate comes to the mental health clinic after being referred to by her primary care provider. Josefina came to live in the United States from Brazil 5 years ago. During the initial intake assessment, the client reports headaches and backaches "almost every day" and "can't sleep at night." The client looks away when asked about anxiety or depression and states, "I don't know why I was referred to the mental health clinic." Which assessment information should the nurse further explore to assess for possible somatization? A. Unexplained physical pain B. Recent immigration to the United States C. Denial of anxiety or depression D. Impaired sleep patterns

C. Denial of anxiety or depression

According to the Western scientific view of health, what causes illness? A. Energy blockage B. Soul loss C. Pathogens D. Spirit invasion

C. Pathogens

A 52-year-old Chinese American client comes to the emergency room reporting anxiety and states, "I am a failure." During the assessment interview, the client shares that they have recently been reprimanded at work for an error they were responsible for. The nurse should explore which possible trigger for the client's anxiety and feelings of failure? A. Feeling personally inadequate regarding dependability B. Traditional belief that failure may result in a changed fate C. Shaming the family by being responsible for the error D. The inability to achieve her personal goals in the workplace

C. Shaming the family by being responsible for the error

Which question asked by a nurse demonstrates the effective implementation of cultural desire when caring for a client from a different culture? A. "Where can I find information on the concept of Yin-Yang?" B. "How can I explain why we can't provide for his request for acupuncture?" C. "How do I go about arranging for a Chinese translator?" D. "What can I do to provide ethnic foods that are still low in fat?"

D. "What can I do to provide ethnic foods that are still low in fat?"

Which statement best explains the term "worldview"? A. Valuing one's beliefs and customs over those of another group. B. Ideas derived from the major health care system of the culture about what causes illness. C. Cultural norms about how, when, and to whom illness symptoms may be displayed. D. Beliefs and values held by people of a given culture about what is good, right, and normal.

D. Beliefs and values held by people of a given culture about what is good, right, and normal.